Individual
JERRI LOU POWERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1111 DRURY LN, ENGLEWOOD, FL 34224-4545
(947) 474-9371
Mailing address
908 TROPICAL CIR NW, PORT CHARLOTTE, FL 33948-3525
(941) 276-3822
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA8495
FL
Other
Enumeration date
06/19/2012
Last updated
06/19/2012
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